Search › Idaho › 363LF0000X
Jeremy Wade, FNP, ENP, PMHNP
NPI 1538494489 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1047 S Wells St
Meridian, ID 83642 - Phone
- (601) 451-4333
- Fax
- (888) 317-1077
- Organisation at this address
- Haas Associates, Llc
Haas Associates, Llc
Haas Associates, Llc
Haas Associates, Llc
Cross Creek Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 701 S Holly Ave, Collins, MS
- 1534 Sw Obsidian Ave, Redmond, OR
- 136 Walter Lott Rd, Seminary, MS
- 3425 13th St, Baker City, OR
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163W00000X
363LF0000X
363LF0000X
363LF0000X
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- OR, MS, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho